I want to get dental implants, but my dentist says you have to be a non-smoker. I just can’t quit. I’ve tried a few times and it hasn’t worked. Does this mean I can never get dental implants?

Missy F. – Montana

Missy,

There are dentists who will do dental implants for smokers, but if they’re worth a dime at their job, they will strongly suggest you quit. There is a good reason. Doing implants is a highly advanced and complicated procedure. Even when everything is done right, there is a chance for dental implant failure.

When you smoke, it adds to the likelihood of implant failure. You already know how bad smoking is for your lungs. However, you might not be aware that it also causes reduced blood flow in your gums. That will impact your healing time. It also increases the likelihood for gum disease and infection.

Your dentist just wants you to start the procedure with the best chance for success.

I don’t like dental care. Is it possible to get sedated for any kind of dental work? Even cleanings and such?

Serena I. – Billings, MT

Serena,

It is possible to have several different levels of sedation during your dental care. You can have everything from nitrous oxide to “relax” you all the way to IV sedation. However, each dentist is different as to what types of sedation dentistry they provide and for which services.

I would speak to your dental provider. Let him or her know your concerns. Be sure they’re aware of your dental fear, all of it, so that you can come up with a mutally comfortable solution.

Many people are afraid of being judged by their dentist, so they hold things back, including some of their fear. To be honest, most dentists care much more about their patients than that.